安徽省重点地区HIV感染者和AIDS病人艾滋病知识行为调查分析

Investigation of AIDS-related knowledge and behavior among people with HIV/AIDS in epidemic areas,Anhui province

目的了解安徽省全球基金艾滋病项目重点地区HIV感染者/AIDS病人知识、行为的现状,客观评价2010年度艾滋病防治工作效果及五年行动规划(2006-2010年)目标实现情况。方法采取整群抽样方法,对安徽省9个全球基金项目重点县1 226名HIV感染者/AIDS病人进行面对面问卷调查,以项目中期(2008年)调查结果进行对比。结果艾滋病相关知识8题全答对者1 005人,占81.97%,对艾滋病相关知识获得途径和希望知识获得途径均为"医生"、"电视"、"免费宣传材料"。与2008年项目评估比较,"无偿献血不会传染艾滋病的知识点"正确回答率由84.30%上升到94.78%(χ2=60.435,P<0.001),"每六个月以上献血对身体无害"由84.46%上升到93.20%,(χ2=41.011,P<0.001);"最近一次使用安全套的比例"由93.58%上升到98.00%,(χ2=38.163,P<0.001);"最近三个月坚持使用安全套的比例"由80.90%上升到92.00%,(χ2=14.765,P<0.001)。结论重点地区HIV感染者/AIDS病人艾滋病和无偿献血知识知晓率较2008年评估结果有所提高,安全套坚持使用率较2008年大幅度提高;获得艾滋病知识的途径较单一,个人及家庭歧视现象依然存在,消除歧视、向"零"艾滋迈进将是今后一段时间的工作重点。

Objective To identify the levels of AIDS knowledge among people living with HIV/AIDS （PLWHAs } in nine AIDS epidemic areas in Anhui, and evaluate the effectiveness of AIDS education program and implementation of five - year project. Methods Using cluster sampling method, 1 226 PLWHAs were interviewed in nine AIDS epidemic areas. A structured questionnaire was anonymously administered face - to - face for each participant. Results Among 1 226 partici- pants, 1 005 answered correctly to 8 questions （ 81.97% }. Doctor, TV and free promotional materials were the main sources to obtain AIDS related knowledge for PLWHAs. Compared with the 2008 survey results, the correct answer rates of ＂non - remunerated blood donation will not transmit AIDS＂ increased from 84.3% to 94.7% （X2 =60. 435, P 〈0.00l ） , and ＂blood donation is harmless to the body more than once every six months＂ increased from 84.4% to 93.2% （X2 =41. 011, P 〈 0.001 }. The proportion of PLWHAs using condom with spouse was 98% at last intercourse, which was higher than that of 2008 survey {93.6% ） IX2 = 38. 163, P 〈 0. 001 ）. 92% of them used condoms consistently at last 3 intercourse, which was higher than that of 2008 survey { 80.9% ） （X2 = 14. 765, P 〈 0. 001 }. Conclusion Compared to the results of 2008 survey, the awareness rate of HIV/AIDS - related knowledge and voluntary blood donation was increased in AIDS epi- demic areas. The rate of consistent condom use was greatly improved. The way to obtain AIDS related knoMedge for PL- WHAs was single, and the discrimination still existed. In our future work, we should focus on ＂eliminating discrimination, getting to zero＂.